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psnet.ahrq.gov/issue/factors-contributing-increase-duplicate-medication-order-errors-after-cpoe-implementation
December 31, 2014 - Study
Factors contributing to an increase in duplicate medication order errors after CPOE implementation.
Citation Text:
Wetterneck TB, Walker JM, Blosky MA, et al. Factors contributing to an increase in duplicate medication order errors after CPOE implementation. J Am Med Inform Assoc. …
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psnet.ahrq.gov/issue/implementation-surgical-safety-checklist-south-carolina-hospitals-associated-improvement
June 02, 2015 - Study
Implementation of the surgical safety checklist in South Carolina hospitals is associated with improvement in perceived perioperative safety.
Citation Text:
Molina G, Jiang W, Edmondson L, et al. Implementation of the Surgical Safety Checklist in South Carolina Hospitals Is Associa…
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psnet.ahrq.gov/issue/scaling-safety-south-carolina-surgical-safety-checklist-experience
February 07, 2018 - Study
Scaling safety: the South Carolina Surgical Safety Checklist experience.
Citation Text:
Berry WR, Edmondson L, Gibbons LR, et al. Scaling Safety: The South Carolina Surgical Safety Checklist Experience. Health Aff (Millwood). 2018;37(11):1779-1786. doi:10.1377/hlthaff.2018.0717.
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psnet.ahrq.gov/issue/model-increasing-patient-safety-intensive-care-unit-increasing-implementation-rates-proven
September 23, 2020 - Study
A model for increasing patient safety in the intensive care unit: increasing the implementation rates of proven safety measures.
Citation Text:
Krimsky WS, Mroz IB, McIlwaine JK, et al. A model for increasing patient safety in the intensive care unit: increasing the implementatio…
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psnet.ahrq.gov/issue/were-not-ready-i-dont-think-youre-ever-ready-clinician-perspectives-implementation-crisis
September 23, 2020 - Study
"We're not ready, but I don't think you're ever ready." Clinician perspectives on implementation of crisis standards of care.
Citation Text:
Chuang E, Cuartas PA, Powell T, et al. "We're not ready, but I don't think you're ever ready." Clinician perspectives on implementation of cr…
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psnet.ahrq.gov/issue/effect-rapid-response-team-hospital-wide-mortality-and-code-rates-outside-icu-childrens
December 02, 2014 - Study
Classic
Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a children’s hospital.
Citation Text:
Sharek PJ, Parast L, Leong K, et al. Effect of a rapid response team on hospital-wide mortality and code rates outs…
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psnet.ahrq.gov/issue/impact-vendor-computerized-physician-order-entry-community-hospitals
December 31, 2014 - Study
Impact of vendor computerized physician order entry in community hospitals.
Citation Text:
Leung AA, Keohane C, Amato MG, et al. Impact of vendor computerized physician order entry in community hospitals. J Gen Intern Med. 2012;27(7):801-7. doi:10.1007/s11606-012-1987-7.
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psnet.ahrq.gov/issue/association-web-based-handoff-tool-rates-medical-errors
April 12, 2023 - Study
Association of a web-based handoff tool with rates of medical errors.
Citation Text:
Mueller SK, Yoon CS, Schnipper JL. Association of a Web-Based Handoff Tool With Rates of Medical Errors. JAMA Intern Med. 2016;176(9):1400-2. doi:10.1001/jamainternmed.2016.4258.
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psnet.ahrq.gov/issue/assessing-relationship-between-patient-safety-culture-and-ehr-strategy
December 21, 2018 - Study
Assessing the relationship between patient safety culture and EHR strategy.
Citation Text:
Ford E, Silvera GA, Kazley AS, et al. Assessing the relationship between patient safety culture and EHR strategy. Int J Health Care Qual Assur. 2016;29(6):614-27. doi:10.1108/IJHCQA-10-2015-0…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/smoking-resources-help-quit.pptx
June 02, 2025 - PowerPoint Presentation
New Resources to Help Providers
Help Smokers Quit
STEPHEN BABB
Office on Smoking and Health
July 26th, 2016
1
Table of Contents
The Opportunity
The Problem
The Solution
Advantages of a Protocol
The Package
Tobacco Treatment Protocol
Tobacco Treatment Action Guide
Implementation Guidan…
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psnet.ahrq.gov/issue/significant-reduction-preanalytical-errors-nonphlebotomy-blood-draws-after-implementation
May 29, 2019 - Study
Significant reduction in preanalytical errors for nonphlebotomy blood draws after implementation of a novel integrated specimen collection module.
Citation Text:
Le RD, Melanson SEF, Petrides AK, et al. Significant Reduction in Preanalytical Errors for Nonphlebotomy Blood Draws Aft…
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digital.ahrq.gov/health-care-theme/patient-reported-outcomes
January 01, 2023 - Patient-Reported Outcomes
Patient-Centered Outcomes Research Clinical Decision Support (CDS) Connect
Description
This research developed and maintained the CDS Connect platform, including its public repository of CDS resources and tools. Current work explores the potential of…
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/preoperative-chlorhexidine.html
April 01, 2025 - MRSA Prevention Toolkit: Targeting SSI
Use of Preoperative Chlorhexidine Antisepsis
Previous Page Next Page
Table of Contents
MRSA Prevention Toolkit: Targeting SSI
The Four Key Strategies of MRSA Prevention: Targeting SSI
MRSA and SSI Prevention Phases
The Evidence for MRSA Decolonization
N…
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psnet.ahrq.gov/issue/compliance-and-barriers-implementing-surgical-safety-checklist-mixed-methods-study
October 06, 2021 - Study
Compliance with and barriers to implementing the surgical safety checklist: a mixed-methods study.
Citation Text:
Aydin Akbuga G, Sürme Y, Esenkaya D. Compliance with and barriers to implementing the surgical safety checklist: a mixed-methods study. AORN J. 2023;117(2):e1-e10. doi:…
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psnet.ahrq.gov/issue/large-scale-implementation-i-pass-handover-system-academic-medical-centre
March 27, 2018 - Study
Large-scale implementation of the I-PASS handover system at an academic medical centre.
Citation Text:
Shahian DM, McEachern K, Rossi L, et al. Large-scale implementation of the I-PASS handover system at an academic medical centre. BMJ Qual Saf. 2017;26(9):760-770. doi:10.1136/bmjq…
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psnet.ahrq.gov/issue/effect-patient-and-family-centered-i-pass-adverse-event-rates-hospitalized-children-complex
November 16, 2022 - Study
Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children with complex chronic conditions.
Citation Text:
Kuzma N, Khan A, Rickey L, et al. Effect of Patient and Family Centered I‐PASS on adverse event rates in hospitalized children with complex c…
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/self-assessment-checklist
July 01, 2025 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
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psnet.ahrq.gov/issue/return-investment-vendor-computerized-physician-order-entry-four-community-hospitals
November 26, 2014 - Study
Return on investment for vendor computerized physician order entry in four community hospitals: the importance of decision support.
Citation Text:
Zimlichman E, Keohane C, Franz C, et al. Return on investment for vendor computerized physician order entry in four community hospita…
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psnet.ahrq.gov/issue/impact-technology-prescribing-errors-pediatric-intensive-care-and-after-study
November 16, 2022 - Study
The impact of technology on prescribing errors in pediatric intensive care: a before and after study.
Citation Text:
Howlett MM, Butler E, Lavelle KM, et al. The impact of technology on prescribing errors in pediatric intensive care: a before and after study. Appl Clin Inform. 2020…
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psnet.ahrq.gov/issue/medical-team-training-and-coaching-veterans-health-administration-assessment-and-impact-first
December 21, 2014 - Study
Medical team training and coaching in the veterans health administration; assessment and impact on the first 32 facilities in the programme.
Citation Text:
Neily J, Mills PD, Lee P, et al. Medical team training and coaching in the Veterans Health Administration; assessment and im…